CoAxial Capital

Scaling the infrastructure behind American healthcare

We invest in and operate revenue cycle businesses with deep domain expertise and a builder's mindset

Our Focus

Target Companies

  • Outsourced billing and RCM services businesses
  • $1M - $10M annual revenue
  • Established operations with growth potential

What We Look For

  • Recurring revenue models
  • Strong customer retention
  • Mission-driven teams

We specialize in complex, regulated markets where operational excellence drives competitive advantage

Why CoAxial

We understand the unique challenges of building and scaling RCM businesses because we've done it ourselves

Technology & Systems Expertise

Deep experience modernizing billing platforms, implementing automation, and driving efficiency without disrupting operations

Change Management Partnership

We know transitions are sensitive. Our approach preserves client relationships and empowers existing teams

Working Capital Optimization

Proven expertise in cash flow management, AR optimization, and accessing growth capital for healthcare services businesses

Our Commitment to Sellers

Fair valuations based on deep industry knowledge

We understand the true value of RCM businesses

Quick, transparent deal processes

No lengthy due diligence or moving goalposts

Your legacy continues and grows

We're builders with a long-term vision

Our Approach

We take a hands-on, partnership approach to building enduring healthcare businesses

1

Partnership from Day One

We start with a deep dive into your business — understanding what works, what your team needs, and where the opportunities lie. No cookie-cutter playbooks.

2

Invest in What Matters

We bring capital and expertise to upgrade technology, streamline operations, and expand capabilities — always with an eye on sustainable growth, not short-term gains.

3

Scale Thoughtfully

Growth should strengthen, not strain. We focus on expanding with the right clients, building robust infrastructure, and maintaining the quality that made your business successful.

4

Build for the Long Term

We're not looking for quick exits. Our success is measured in decades, not quarters — creating lasting value for clients, employees, and the healthcare system.

"We acquire businesses we'd want to run ourselves — and then we do exactly that."